Individual
ANGELOUS DANETTA HALL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RW8444
Contact information
Practice address
1124 BAKER ST, BAKERSFIELD, CA 93305-4322
(661) 327-9376
Mailing address
1124 BAKER ST, BAKERSFIELD, CA 93305-4322
(661) 327-9376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
12/21/2017
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